| NPI | 1356859144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 042232) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01760400) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-03-17 |