| NPI | 1417474594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015754) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01738700) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2025-12-02 |