| NPI | 1679017271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01697400) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NJ 40QA01697400) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2024-06-03 |