| NPI | 1740039593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01849900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037918) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |