| NPI | 1447624887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01847500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 039241) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2024-07-09 |