| NPI | 1730412719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 008405-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA0030303100) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2012-05-01 |