| NPI | 1447625926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7035) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01642400) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2023-08-29 |