| NPI | 1750673323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: PA PT020488) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA01537800) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2018-08-09 |