| NPI | 1427836261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP051255T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02213900) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2025-12-22 |