| NPI | 1528305455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3764) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ QA01475700) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2014-12-04 |