| NPI | 1871000729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00346000) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE010104) |
| Enumeration Date | 2018-01-01 |
| Last Update Date | 2018-01-01 |