| NPI | 1245523950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 010932-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00613300) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-31 |