| NPI | 1255671285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01482500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033792) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |