| NPI | 1396386041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01893700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT300055) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2021-12-09 |