| NPI | 1912539339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14117) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01757100) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2022-03-11 |