| NPI | 1952610750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14385) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ QA00345000) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2022-12-26 |