| NPI | 1073582839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00918500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT013442L) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2020-11-19 |