| NPI | 1487983854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ PT40QA00693800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 019276-1) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |