| NPI | 1093187270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01732600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 039389) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2023-04-24 |