| NPI | 1316319734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21950) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01624500) |
| Enumeration Date | 2015-10-25 |
| Last Update Date | 2022-09-15 |