| NPI | 1396428918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014747) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02298200) |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2025-03-04 |