| NPI | 1659008787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02330700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305216866) |
| 225100000X Physical Therapist (Licence: MD 29750) | |
| 225100000X Physical Therapist (Licence: PA PT030650) | |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2025-06-13 |