| NPI | 1679024020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ PT40QA01390100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031982) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |