| NPI | 1376576934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA01206900) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL 23734) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2015-11-02 |