| NPI | 1023063302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01012600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 018197) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2016-07-27 |