| NPI | 1699223073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01773000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040786) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2024-04-08 |