| NPI | 1609598861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02125900) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-15 |