| NPI | 1497125603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01637300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0013622) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2017-08-16 |