| NPI | 1548405772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: NJ 40QA01298900) |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports (Licence: NJ 40QA01298900) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-02 |