| NPI | 1619277977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01969000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23452) |
| 225100000X Physical Therapist (Licence: NJ NJDCATEMP-013823) | |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2020-11-03 |