| NPI | 1871923060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01640300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070020419) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2015-10-28 |