| NPI | 1740804194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 019043-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00907200) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2021-04-13 |