| NPI | 1316675028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02145200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT030769) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2024-08-06 |