| NPI | 1245719582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02305800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME 6495) |
| 225100000X Physical Therapist (Licence: CA 305354) | |
| 225100000X Physical Therapist (Licence: HI 4452) | |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2024-11-22 |