| NPI | 1598889834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00129400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01294) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2021-11-10 |