| NPI | 1376007484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02048000) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2021-09-28 |