| NPI | 1073058566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1347172) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01668100) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2024-04-09 |