| NPI | 1861024259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ QA00544500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40Qa00544500) |
| 225100000X Physical Therapist (Licence: NJ 40Qa005445) | |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |