| NPI | 1154965028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01917600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026784) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2021-05-24 |