| NPI | 1225661291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT028905) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01914600) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2021-04-01 |