| NPI | 1588212781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01805400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 24196) |
| 225100000X Physical Therapist (Licence: NC P18986) | |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |