| NPI | 1649320599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01215800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 023189) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |