| NPI | 1144415464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01253200) |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2020-04-16 |