| NPI | 1285842591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 6668) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ QA01081000) |
| 225100000X Physical Therapist (Licence: CO 8873) | |
| 225100000X Physical Therapist (Licence: CA 30296) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-11-15 |