| NPI | 1942545140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12453) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01476000) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2024-07-31 |