| NPI | 1770986044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NJ 40qb00237200) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: NJ 40qb00237200) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |