| NPI | 1447555990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01534700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033391-1) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2015-02-05 |