| NPI | 1194026880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00637200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT008763E) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |