| NPI | 1194145680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 46TR00972300) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 07223) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2021-06-28 |