| NPI | 1376038414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 23630) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01693700) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |