| NPI | 1457687097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA1272500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 027484) |
| Enumeration Date | 2009-11-01 |
| Last Update Date | 2009-11-01 |