| NPI | 1124631460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02014200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 298775) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2024-04-17 |