| NPI | 1023623097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216281) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046189) |
| 225100000X Physical Therapist (Licence: NJ 40QA02055200) | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2024-10-14 |