| NPI | 1699261438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02101900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043040) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2023-10-18 |