| NPI | 1245999424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01918900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043982-01) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2022-09-20 |