| NPI | 1245898717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01915200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027717) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2020-08-20 |