| NPI | 1194852970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21607) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01022500) |
| 225100000X Physical Therapist (Licence: VA 2305204848) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |