| NPI | 1528734266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT029900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02033200) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2022-11-18 |