| NPI | 1144398249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00944200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 022409) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-01-31 |