| NPI | 1689031312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01668300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 039850-1) |
| 2251P0200X Physical Therapist Pediatrics (Licence: NY 039850-1) | |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2022-07-25 |