| NPI | 1710479779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01912100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC p17893) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2020-02-24 |