| NPI | 1093214686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 042448) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 4OQA01773500) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2021-01-13 |