| NPI | 1265504799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01107000) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-09-02 |