| NPI | 1851756613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029753) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ A0QA0138800) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2021-04-21 |