| NPI | 1629474259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01581500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023960) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |