| NPI | 1053319921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ QA007131) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT009660L) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2013-12-16 |