| NPI | 1942558812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26827) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01590700) |
| 225100000X Physical Therapist (Licence: NY 035217-1) | |
| Enumeration Date | 2012-08-26 |
| Last Update Date | 2024-08-29 |