| NPI | 1205334026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP033594T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01764800) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2024-10-02 |