| NPI | 1730399957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01210700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT017068) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-05-25 |