| NPI | 1710253323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 025122-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01208300) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |