| NPI | 1033121769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT32197) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00139200) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2017-11-20 |