| NPI | 1811230725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01548900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036170) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2018-07-09 |