| NPI | 1477782449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01314000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 025617-1) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2013-03-28 |