| NPI | 1427877836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT031724) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01588200) |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-03 |