| NPI | 1609135680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01442400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT020471) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-31 |