| NPI | 1932085651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ CP048482T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT030888) |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-10-07 |