| NPI | 1609487909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA1937900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 302910) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2023-07-24 |