| 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 |