| NPI | 1003241720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P15179) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01503000) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2024-11-04 |