| NPI | 1609393883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02019200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041376-1) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2021-11-26 |