| NPI | 1891941191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024966) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01288000) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2016-12-06 |