| NPI | 1558339218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA01042400) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: NJ 40QA01042400) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2022-05-11 |