| NPI | 1619316544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01375600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032955) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |