| NPI | 1801931696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01333200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 027921) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2016-10-14 |