| NPI | 1598894263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 2932) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 3847) |
| 225100000X Physical Therapist (Licence: NJ 40QA00961000) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |