| NPI | 1891098885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QAO1668400) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2021-12-04 |