| NPI | 1477742757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 297940) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01341400) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2020-08-02 |