| NPI | 1063791283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035574-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01402600) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2024-06-07 |