| NPI | 1326327503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01557900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032333) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2015-12-16 |