| NPI | 1386042588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT023342) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01412000) |
| Enumeration Date | 2014-12-21 |
| Last Update Date | 2014-12-21 |