| NPI | 1649431669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 400QA008675) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002798) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2020-06-08 |