| NPI | 1477982247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 10616) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01503300) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2018-10-02 |