| NPI | 1043817588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 301776) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: NJ 40QA01959200) | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2025-12-04 |