| NPI | 1740545854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01444000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034482-1) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |