| NPI | 1477071561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01739900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211139) |
| 225100000X Physical Therapist (Licence: PA PT026081) | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2022-07-21 |