| NPI | 1275998353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01664200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 039001) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2019-06-14 |