| NPI | 1841520616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01373800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY P74035) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2017-01-04 |