| NPI | 1821398264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01492800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT020786) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2023-09-04 |