| NPI | 1235951112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 05314801) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40qa02264100) |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |