| NPI | 1114984036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01084500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26789) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2012-07-16 |