| NPI | 1548867708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 046394-01) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01952100) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2021-08-27 |