| NPI | 1003024142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36528) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01190600) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-07-06 |