| NPI | 1568156040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA007473) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ QA007473) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-06-07 |