| NPI | 1184832503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003672) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01230700) |
| 225100000X Physical Therapist (Licence: AZ 9232PT) | |
| 225100000X Physical Therapist (Licence: PA PT017843) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-07-28 |