| NPI | 1194494153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01489100) |
| Enumeration Date | 2021-09-12 |
| Last Update Date | 2021-09-12 |