| NPI | 1689003535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036802) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40qa01519700) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2022-07-15 |