| NPI | 1952603847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 37206) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01285200) |
| Enumeration Date | 2010-11-27 |
| Last Update Date | 2010-11-27 |