| NPI | 1710469978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01928300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27122) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2020-08-20 |