| NPI | 1659619716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40qb00360700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035742) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2019-09-19 |