| NPI | 1659388023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 012060-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00667200) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-05-31 |