| NPI | 1437805330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02073000) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT030257) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2023-12-04 |