| NPI | 1780854075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 020751) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01207600) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2010-11-17 |