| NPI | 1578843850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 024115) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 0QA01420900) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2024-02-05 |