| NPI | 1225705445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00566500) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: NJ 40QA00566500) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |