| NPI | 1023298411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01076000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 019601) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2022-01-06 |