| NPI | 1447146055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02334000) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-30 |