| NPI | 1417325531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01647700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209839) |
| Enumeration Date | 2015-09-05 |
| Last Update Date | 2023-07-31 |