| NPI | 1003334640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT002555E) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00650000) |
| 225700000X Massage Therapist (Licence: NJ 18KT00363000) | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2025-05-06 |