| NPI | 1649670530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01590300) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 2251P0200X Physical Therapist, Pediatrics (Licence: GA unknown) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: FL 29604) | |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2022-02-23 |