| NPI | 1275072548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT025732) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01712900) |
| 225100000X Physical Therapist (Licence: NY 040914-1) | |
| 225100000X Physical Therapist (Licence: TX 1282870) | |
| Enumeration Date | 2017-02-19 |
| Last Update Date | 2017-02-19 |