| NPI | 1144471442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019437) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00631900) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |