| NPI | 1558309369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 40QA01445600) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 022150-1) |
| 225100000X Physical Therapist (Licence: NJ 40QA01445600) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-05-08 |