| NPI | 1194538231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30365) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02315600) |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-06-18 |