| NPI | 1275836132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH8514) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033196) |
| 225100000X Physical Therapist (Licence: NJ 40QA01444400) | |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2024-09-26 |