| NPI | 1285926675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41889) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01392800) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2015-04-23 |