| NPI | 1861198269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02144800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046618-01) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-07 |