| NPI | 1013384007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA01856000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034001) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2022-07-05 |