| NPI | 1356856587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT026500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01912600) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2023-03-09 |