| NPI | 1568898146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024451) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01514400) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2024-10-10 |