| NPI | 1760757801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 010844) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA#00989300) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2015-03-03 |