| NPI | 1447668561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01469200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034105) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2018-11-01 |