| NPI | 1598599037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: NJ 40QA02278500) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: NY 053003) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-08-28 |