| NPI | 1205145141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT006361L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00912000) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |