| NPI | 1427656578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT028920) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01968600) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2025-05-27 |