| NPI | 1699981126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01237800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 025729-1) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2022-04-02 |