| NPI | 1760039002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01878900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT018105) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |