| NPI | 1528666179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01954400) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: CA PT299280) | |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2023-03-17 |