| NPI | 1285962191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 5082) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 37732) |
| 225100000X Physical Therapist (Licence: NJ 40QA01214400) | |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2024-04-05 |