| NPI | 1790110617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: NJ 40QA01463200) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA01463200) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |