| NPI | 1558535773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01351900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT22180) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2011-10-05 |