| NPI | 1386994374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02327700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT28245) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2025-09-19 |