| NPI | 1437937927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02195000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 055057) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2026-03-03 |