| NPI | 1639258593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01025600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 028335) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2011-09-16 |