| NPI | 1922012319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH9692) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 024319) |
| 225100000X Physical Therapist (Licence: NJ 40QA01231500) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-09-07 |