| NPI | 1194848291 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA00680100)  | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00021400)  | 
| 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA00680100)  | |
| Enumeration Date | 2007-04-06 | 
| Last Update Date | 2025-09-11 |