| NPI | 1194819821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00748900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT25074) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-11-21 |