| NPI | 1427581602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01723100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040042) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-11 |