| NPI | 1669146650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048366) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01902900) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2022-09-09 |