| NPI | 1356109565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT032136) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02240600) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |