| NPI | 1770357907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02218500) |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2025-01-08 |