| NPI | 1346389921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01217700) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-06-24 |