| NPI | 1427143759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22006) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ QA00514400) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-09-22 |