| NPI | 1912242280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22613) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01471800) |
| 225100000X Physical Therapist (Licence: CT 11161) | |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2025-01-27 |