| NPI | 1033357876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 62030874) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01304700) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2012-12-10 |