| NPI | 1215454319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02003700) |
| 225100000X Physical Therapist (Licence: GA PT013011) | |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2024-01-19 |