| NPI | 1528013067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 19937) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00918800) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-08-06 |