| NPI | 1003095894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 02678) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01302100) |
| 225100000X Physical Therapist (Licence: HI 2826) | |
| 225100000X Physical Therapist (Licence: NY 028740) | |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2022-03-31 |