| NPI | 1407823883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ QA02416) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 002200) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2007-07-08 |