| NPI | 1275749756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT008225L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00885400) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-11-16 |