| NPI | 1750837886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 047276) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 296444) |
| 225100000X Physical Therapist (Licence: NJ 40QA01683500) | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2022-02-08 |