| NPI | 1346923778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02199100) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2025-08-22 |