| NPI | 1295462430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01936600) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2024-09-14 |