| NPI | 1487293312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01765400) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 13047) |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2026-04-17 |