| NPI | 1396381208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40qa01868700) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2025-09-26 |