| NPI | 1295339125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 40QA02166400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046599) |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2025-11-03 |