| NPI | 1598866576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 025816-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01105700) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-19 |