| NPI | 1144968868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 302367) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02041100) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2023-12-08 |