| NPI | 1528734217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02019600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 010667) |
| 225100000X Physical Therapist (Licence: NY 039365-1) | |
| Enumeration Date | 2021-08-21 |
| Last Update Date | 2021-08-21 |