| NPI | 1821305533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 027476) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01202800) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |