| NPI | 1700154457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 18422) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 20437) |
| 225100000X Physical Therapist (Licence: NJ 40QA01427800) | |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |