| NPI | 1316115207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01485700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT23647) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2013-06-04 |