| NPI | 1093142192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 9462) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: AK 2671) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: AK 2671) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: AK 2671) | |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2017-10-05 |