| NPI | 1861865586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02149900) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA PT42686) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2023-05-17 |