| NPI | 1568517043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA00910200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00910200) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2025-04-01 |