| NPI | 1972762730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MA08795900) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 244653-1) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2013-06-05 |