| NPI | 1265947139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 041862) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 11696) |
| 225100000X Physical Therapist (Licence: PA PT026489) | |
| 225100000X Physical Therapist (Licence: CO PTL.0015603) | |
| 225100000X Physical Therapist (Licence: MD 27177) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2018-10-15 |