| NPI | 1396381836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 044121) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02004700) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2022-08-16 |