| NPI | 1356849186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01995600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041856-1) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2021-11-24 |