| NPI | 1538896683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01746900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0018184) |
| 225100000X Physical Therapist (Licence: FL PT38280) | |
| 225100000X Physical Therapist (Licence: NY 048539-01) | |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |