| NPI | 1912440124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT39308) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01687000) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2023-11-28 |