| NPI | 1184263618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01797600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037442) |
| Enumeration Date | 2020-01-01 |
| Last Update Date | 2020-01-01 |