| NPI | 1194502005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02208700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP042668T) |
| 225100000X Physical Therapist (Licence: GA CP027979T) | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2025-08-12 |