| NPI | 1962374082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 008914-01) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02343300) |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-18 |