| NPI | 1023168697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01382700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT015941) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2010-12-13 |