| NPI | 1114465317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02311100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT32281) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2025-07-24 |