| NPI | 1528813185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02258600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 27036) |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2025-11-04 |