| NPI | 1811143886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA07093300) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 163984-1) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |