| NPI | 1144355504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01365400) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 024549-1) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2016-11-14 |