| NPI | 1386038735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01543500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT 003279) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |