| NPI | 1407818446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033406) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01158100) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-04-16 |