| NPI | 1366097750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19031) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01930400) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2020-06-23 |