| NPI | 1538365226 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00275800) | 
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: NJ 40QA00275800) | 
| Enumeration Date | 2007-06-21 | 
| Last Update Date | 2025-09-11 |