| NPI | 1982610127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003341) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01098500) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2016-08-26 |