| NPI | 1619235470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01550400) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00233400) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2024-03-27 |