| NPI | 1679718001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT7085L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ QAO4943) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2008-12-15 |