| NPI | 1235437765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 044009) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 871791) |
| 225100000X Physical Therapist (Licence: FL PT26371) | |
| 225100000X Physical Therapist (Licence: MD 26189) | |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2018-12-13 |