| NPI | 1760546121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00374600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 010648-1) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-05-06 |