| NPI | 1144313461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01191800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 026527) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2007-07-08 |