| NPI | 1336175694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QAO0758000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018335) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-06-09 |