| NPI | 1609765213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02360900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE CP048957T) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2026-07-30 |