| NPI | 1154065522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 13917) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02084400) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2023-05-24 |