| NPI | 1578617361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01152600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ ptqa01152600) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2022-02-23 |