| NPI | 1639876337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1361095) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ PT61370857) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |