| NPI | 1780018069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01513600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026792) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2018-10-19 |