| NPI | 1932220126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00955600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 46TA09092700) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2021-07-07 |