| NPI | 1316259914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01417600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PTO-20670) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2018-07-30 |