| NPI | 1770271488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02140600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 11438R) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-04 |