| NPI | 1881952190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01470000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032415) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2026-02-11 |