| NPI | 1467919506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01804700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013737) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2023-02-24 |