| NPI | 1346479961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00602900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 013939-1) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2013-07-01 |