| NPI | 1083882237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00909700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 021766-1) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |