| NPI | 1831406446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8482) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01347700) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2023-05-09 |