| NPI | 1891279071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36276) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA1823000) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2024-03-25 |