| NPI | 1538588900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01546800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037469) |
| 225100000X Physical Therapist (Licence: PA PT023483) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |