| NPI | 1063598464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 012383-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00234600) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |