| NPI | 1518106293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01524100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031071) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2024-01-23 |