| NPI | 1265513188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 13912) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01014700) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-01-13 |