| NPI | 1225156615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01391500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 018416) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2019-03-14 |