| NPI | 1316421787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02165500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043426) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2023-09-13 |