| NPI | 1245350891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028428) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01280100) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2009-02-25 |