| NPI | 1013530823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036516) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01911900) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2021-04-13 |