| NPI | 1518989441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01200100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 022580) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2019-12-23 |