| NPI | 1669534103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: PA PT011000L) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NJ 40QA00996000) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2009-05-15 |