| NPI | 1952766321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02097400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0376551) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2023-02-01 |