| NPI | 1851371801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA07358200) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: NJ 25MA07358200) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2022-07-22 |