| NPI | 1235220377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00694000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT015154) |
| 225100000X Physical Therapist (Licence: DE J1-0001819) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2012-03-18 |