| NPI | 1952627754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01354200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62032621) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-06-04 |