| NPI | 1326604893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA CA297402) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT027674) |
| 225100000X Physical Therapist (Licence: NJ 40QA02166900) | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2023-08-31 |