| NPI | 1992425870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT032260) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02120100) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2024-06-17 |