| NPI | 1376495440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02399700) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA02399700) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA02399700) | |
| Enumeration Date | 2026-02-11 |
| Last Update Date | 2026-02-11 |