| NPI | 1659826923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01572300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 9902361-2401) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2020-03-26 |