| NPI | 1992844468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00903300) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 025411) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-10-01 |