| NPI | 1215148853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 013577-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT16217) |
| 225100000X Physical Therapist (Licence: TX 1113587) | |
| 225100000X Physical Therapist (Licence: CT 004912) | |
| 225100000X Physical Therapist (Licence: AL PTH4898) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |