| NPI | 1255731352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038041) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 010492) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2021-04-12 |