| NPI | 1386863884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01160400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT017262) |
| 225100000X Physical Therapist (Licence: DE J1-0001859) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-11-06 |