| NPI | 1922313279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 032824) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01364300) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2024-09-30 |