| NPI | 1861406761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305003331) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01834300) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2024-02-05 |