| NPI | 1033253604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00667300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT006405L) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2010-03-29 |