| NPI | 1023378379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02002100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY p82256) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2023-10-25 |