| NPI | 1124270616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206813) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18432) |
| 225100000X Physical Therapist (Licence: NJ 40QA01215900) | |
| 225100000X Physical Therapist (Licence: CA PT36159) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305206813) | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2016-07-05 |