| NPI | 1841960465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02038400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23021) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2025-11-24 |