| NPI | 1912407586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01894400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026714) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2021-07-13 |