| NPI | 1093190993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00803100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 018700) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2016-04-04 |