| NPI | 1124038039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 027131-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02184800) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2025-10-29 |