| NPI | 1083746598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA01370800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 023632) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2018-03-17 |