| NPI | 1649435082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01359100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030915) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2025-03-03 |