| NPI | 1801212287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01857200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037031) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2020-03-19 |