| NPI | 1629686191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01924000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P22857) |
| 225100000X Physical Therapist (Licence: NY 047286) | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2024-03-25 |