| NPI | 1013434059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01752100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT6622) |
| 225100000X Physical Therapist (Licence: VT 040.0134108) | |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2020-04-28 |