| NPI | 1811520265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01921700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028409) |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2025-01-15 |