| NPI | 1033227061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT012937L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00782900) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-05-25 |