| NPI | 1437986650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02291900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP051474T) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2026-01-07 |