| NPI | 1881136968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038635) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02069700) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2026-03-12 |