| NPI | 1538773908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 046554) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01944300) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-11-18 |