| NPI | 1740492149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 4OQA01277300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 020343) |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2020-08-31 |