| NPI | 1346595808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 025634) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01708300) |
| 225100000X Physical Therapist (Licence: MD 24108) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2020-12-29 |