| NPI | 1588631444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01154100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT 006648-L) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2008-08-14 |