| NPI | 1346483351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01972800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 026646-1) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2020-11-04 |