| NPI | 1780133538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28546) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01910900) |
| 225100000X Physical Therapist (Licence: CA 292101) | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2021-09-24 |