| NPI | 1316167331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ PT402A00949400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 019865-1) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |