| NPI | 1891962528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA08812000) |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NJ 25MA08812000) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MA08812000) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2013-08-27 |