| NPI | 1578797932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024389) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01311500) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2025-06-17 |