| NPI | 1821878471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02145900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 049103) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |