| NPI | 1902472749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02049400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT029729) |
| 225100000X Physical Therapist (Licence: PA TPT023387) | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2022-07-05 |