| NPI | 1104848217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 017243-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA0179000) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2025-05-28 |