| NPI | 1740929025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT030958) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA02091200) | |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2024-04-25 |