| NPI | 1649505751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01330000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031890) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |