| NPI | 1447789128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01853300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041510) |
| 225200000X Physical Therapy Assistant (Licence: NY 010981) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2024-01-23 |