| NPI | 1427509793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT025310) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01694000) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2020-07-14 |