| NPI | 1386839348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01277200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 026415) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2022-08-24 |