| NPI | 1568944817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27685) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01881600) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2022-01-19 |