| NPI | 1790177889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: NJ 40QA01911800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037916-1) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2021-08-26 |