| NPI | 1912941329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1318357) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01064300) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-05-15 |