| NPI | 1083883235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0180251) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01058800) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |