| NPI | 1427639178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 19799) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02002000) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2024-07-15 |