| NPI | 1508983719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00520800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA pt003004e) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2011-04-14 |