| NPI | 1548723620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01972100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027540) |
| Enumeration Date | 2019-04-07 |
| Last Update Date | 2024-08-05 |