| NPI | 1043418601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01270200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002062) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2013-04-26 |