| NPI | 1730365255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 041488) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01267600) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2025-08-26 |