| NPI | 1558091462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA02010300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40AQ02010300) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2025-11-14 |