| NPI | 1679978845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01565600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 042999) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2024-08-16 |