| NPI | 1861458143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT017297) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00496800) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2016-05-17 |