| NPI | 1366268047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02307500) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-12-06 |