| NPI | 1942825096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 4306) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 4306) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2022-10-24 |