| NPI | 1437800950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA02134700) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 048115) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-11-10 |