| NPI | 1598273583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA177200) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DE J1-0003819) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |