| NPI | 1144388380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00768300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 8771) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2014-08-12 |