| NPI | 1205049434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35167) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00357200) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2019-12-10 |