| NPI | 1891082897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033493-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01183300) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2012-04-25 |