| NPI | 1093931875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 62027374) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02111700) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2023-03-27 |