| NPI | 1710490388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01997700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 293905) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2022-06-10 |