| NPI | 1013450873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 14.012143) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01707900) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2021-06-28 |