| NPI | 1437451325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033084-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QAO1381500) |
| Enumeration Date | 2010-11-26 |
| Last Update Date | 2015-04-10 |