| NPI | 1295565828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02127400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 048467) |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |