| NPI | 1053676221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01723900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034672) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2023-01-25 |