| NPI | 1275663411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35667) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 4OQAO1131300) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2021-03-22 |