| NPI | 1831216399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ PT40QA00989200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT013567) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |