| NPI | 1295698173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP051528T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02381900) |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2025-12-18 |