| NPI | 1992128094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01537000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023292) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |