| NPI | 1295915940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT016160) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 8586) |
| 225100000X Physical Therapist (Licence: NJ 40QA00947400) | |
| Enumeration Date | 2007-11-10 |
| Last Update Date | 2007-11-10 |