| NPI | 1508331232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02175900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038410) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2024-05-30 |