| NPI | 1598292484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA01727100) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: NJ 40QA01727100) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2018-06-16 |