| NPI | 1043217649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA00673300) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 016093) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2013-04-17 |