| NPI | 1225507817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02417500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043693) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2026-06-23 |