| NPI | 1841746179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 302296) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40qa10624900) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2024-08-15 |