| NPI | 1942588819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01404600) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |