| NPI | 1194838672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00453200) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2024-06-13 |