| NPI | 1295867547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT27588) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62029184) |
| 225100000X Physical Therapist (Licence: NJ 40QA01246200) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2013-02-20 |