| NPI | 1235696204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 043647) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01805000) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2024-02-08 |