| NPI | 1548669153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01582400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21006) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2023-03-22 |