| NPI | 1205481959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02001800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043363-1) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2021-06-22 |