| NPI | 1134904683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 050844) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02189100) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |