| NPI | 1023557394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01739800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041228-1) |
| Enumeration Date | 2017-02-18 |
| Last Update Date | 2024-01-30 |