| NPI | 1134783640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01854900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 042923) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-05-01 |