| NPI | 1376829523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT017464) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01419500) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2025-04-04 |