| NPI | 1801940481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: NJ 40QA00762300) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2025-09-11 |