| NPI | 1154297968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02148000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT032977) |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-10-17 |