| NPI | 1093144800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01651500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031669) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2022-11-14 |