| NPI | 1275597676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62529) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 1695) |
| 225100000X Physical Therapist (Licence: NJ QA06584) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2022-03-10 |