| NPI | 1225389778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01671200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035491-1) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2020-11-25 |