| NPI | 1063974053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 23660) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01795200) |
| 225100000X Physical Therapist (Licence: MD 27049) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-06-11 |