| NPI | 1881040640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P13716) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01658700) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2022-07-21 |