| NPI | 1407373947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 4683) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01745600) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2021-01-20 |