| NPI | 1164808671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01780900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61188074) |
| 225100000X Physical Therapist (Licence: CA 308189) | |
| 225100000X Physical Therapist (Licence: PA PT026727) | |
| 225100000X Physical Therapist (Licence: NY 054112) | |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2025-09-05 |