| NPI | 1194893479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002342) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00483500) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2013-01-07 |