| NPI | 1811545114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 295256) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02118800) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2023-08-29 |