| NPI | 1487950085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031693) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02328800) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2025-10-24 |