| NPI | 1043599160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00277800) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: 001081-1) |
| Enumeration Date | 2011-08-07 |
| Last Update Date | 2011-08-07 |