| NPI | 1336517846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01783400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT024714) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2018-08-09 |