| NPI | 1598283970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 045071-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01737200) |
| 225100000X Physical Therapist (Licence: MD 27163) | |
| 225100000X Physical Therapist (Licence: 045071-1) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2019-11-12 |