| NPI | 1114655719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT43416) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT030710) |
| 225100000X Physical Therapist (Licence: NJ 40QA02119100) | |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2025-09-30 |