| NPI | 1376923664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: NJ 40A02018200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038851-1) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2023-06-29 |