| NPI | 1295163731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7597) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01520900) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2019-06-15 |