| NPI | 1083111991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20844) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01784400) |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2022-01-30 |