| NPI | 1053648006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01525800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62033624) |
| 225100000X Physical Therapist (Licence: DC PT871051) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA01525800) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NY 62033624) | |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2018-04-17 |