| NPI | 1023444817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 011674-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 4oqa00734900) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |