| NPI | 1194239319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 048156-01) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01767800) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2023-04-14 |