| NPI | 1194847434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41927) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031448-1) |
| 225100000X Physical Therapist (Licence: NJ 40QA01181600) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2016-03-09 |