| NPI | 1598932949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ QA05714) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT39480) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2025-07-14 |