| NPI | 1922543255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01711100) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2019-11-05 |