| NPI | 1982740924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01298000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 007563-1) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2013-04-30 |