| NPI | 1730395955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00431500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 003307) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |