| NPI | 1407030372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ PT40QA01265400) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NJ 40QA01265400) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2025-08-28 |