| NPI | 1447782917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01997500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041440) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2021-11-09 |