| NPI | 1841903994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 15168) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01914900) |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2025-12-02 |