| NPI | 1629151386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026322-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01192700) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2014-05-11 |