| NPI | 1396842266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 020338-01) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 40QA00586000) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-03-11 |