| NPI | 1770351066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP0332578T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02237600) |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2024-08-09 |