| NPI | 1043741242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: FL 31335) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NJ 40QA01439300) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |