| NPI | 1952739534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01539300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036519) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2019-06-24 |