| NPI | 1689908170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014162-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01123200) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |