| NPI | 1730253840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00868300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0211641) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2009-07-29 |