| NPI | 1841884111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 019806-01) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01170500) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2024-12-27 |