| NPI | 1285950519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01836400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031372) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2025-04-21 |