| NPI | 1457856858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01781300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 042883) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-04-11 |