| NPI | 1659567196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QAO1213500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 015081) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-30 |