| NPI | 1467669317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01660400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 026636) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-05-28 |