| NPI | 1992384523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02081900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28379) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2022-05-06 |