| NPI | 1396162863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT-013122-L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00866800) |
| Enumeration Date | 2014-03-23 |
| Last Update Date | 2014-03-23 |