| NPI | 1295219525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35790) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01806900) |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2021-02-21 |