| NPI | 1366788986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01469700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035131) |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2015-06-25 |