| NPI | 1679151401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29170) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01996800) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2023-04-06 |