| NPI | 1215091277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 15178) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00967500) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2016-10-19 |