| NPI | 1437575487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028331-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01228800) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |