| NPI | 1538309059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01291900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 028772) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2012-09-06 |