| NPI | 1497180194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00530200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 014132-1) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2023-10-02 |