| NPI | 1346728102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 043109) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01791200) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-06 |