| NPI | 1225547623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01754300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026199) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2026-03-23 |