| NPI | 1467988428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02262600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036846) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-11-06 |