| NPI | 1780151878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00183200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 40QA00183200) |
| Enumeration Date | 2018-10-27 |
| Last Update Date | 2018-10-27 |