| NPI | 1538447024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00786500) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: NJ 40QA00786500) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: 40QA00786500) | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |