| NPI | 1710461314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 408A01816000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01816000) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-10-12 |