| NPI | 1992306336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02082600) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2023-01-05 |