| NPI | 1598120487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01649700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 039751) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |