| NPI | 1114372539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01665000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028447) |
| 225100000X Physical Therapist (Licence: LA 10539R) | |
| 225100000X Physical Therapist (Licence: MA 24827) | |
| 225100000X Physical Therapist (Licence: TX 1332917) | |
| 225100000X Physical Therapist (Licence: VA 2305210061) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2020-10-20 |