| NPI | 1427144401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 025422) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00922300) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-03-17 |