| NPI | 1609227511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 044365) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01642600) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2021-04-13 |