| NPI | 1982710026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01049200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 11095) |
| 225100000X Physical Therapist (Licence: NY 016879-1) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2024-04-10 |