| NPI | 1215237201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-4757) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01360700) |
| 225100000X Physical Therapist (Licence: TX 1200983) | |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2019-03-29 |