| NPI | 1053704080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC p20298) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01602700) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2021-04-08 |