| NPI | 1952775355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11895) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01646600) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2023-06-12 |