| NPI | 1992392047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01983100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25397) |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2021-02-17 |