| NPI | 1902986821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MB08062000) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 217260) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-02-22 |