| NPI | 1942971874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02046700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT029541) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-11-30 |