| NPI | 1740695246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT295101) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01568200) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2018-10-22 |