| NPI | 1538193784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00589200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 011422-1) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-08-10 |