| NPI | 1205022878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA00743800) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 008673-1) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |