| NPI | 1053657320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21202) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00366100) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2023-01-03 |