| NPI | 1184053746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 20833) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 022776) |
| 225100000X Physical Therapist (Licence: NJ 40qa01476300) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |