| NPI | 1063968063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 4QA01689100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01689100) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2024-07-17 |