| NPI | 1730552217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01543900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62 037434) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2020-07-01 |