| NPI | 1023386869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01487400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033693-1) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2013-03-08 |