| NPI | 1598204513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01785700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT6046) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2019-07-03 |