| NPI | 1245288224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02243300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT012989L) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-05-01 |