| NPI | 1972275568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA01643300) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT028078) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2021-10-01 |