| NPI | 1124273172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 015107) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40 QAO7311) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |