| NPI | 1295010387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00541300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 012696) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |