| NPI | 1831223122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00687100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ QA06871) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2025-07-16 |