| NPI | 1386146447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT026771) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01689500) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2021-05-07 |