| NPI | 1487322277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01306500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT019557) |
| Enumeration Date | 2021-09-06 |
| Last Update Date | 2021-09-06 |