| NPI | 1144854001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01914100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J100040006) |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2025-06-03 |