| NPI | 1225551047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21729) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01732500) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2024-11-20 |