| NPI | 1194021709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 022536-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01155000) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |