| NPI | 1831702786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT029350) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01949000) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2021-03-10 |