| NPI | 1033227061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT43393) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT012937L) |
| 225100000X Physical Therapist (Licence: NJ 40QA00782900) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2025-09-08 |