| NPI | 1679704829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02297100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032964-1) |
| 225100000X Physical Therapist (Licence: PA PT020080) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2025-09-04 |