| NPI | 1790714780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01195000) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2018-03-17 |