| NPI | 1891719431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ QA01266400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 024599-1) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-10-11 |