| NPI | 1457756660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01546100) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2023-06-20 |