| NPI | 1790864155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00456900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 008693-1) |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2007-07-08 |