| NPI | 1669989968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT027694) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01756300) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2019-12-04 |