| NPI | 1255367405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 021229) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ QA0116300) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2009-03-18 |