| NPI | 1891762274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00933900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT013946L) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2009-03-16 |