| NPI | 1508966177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 010846) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01639500) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2017-05-12 |