| NPI | 1780037200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01784800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 10906) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2023-03-10 |