| NPI | 1700287240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01577300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023717) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2019-09-26 |