| NPI | 1295993467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT016680) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204938) |
| 225100000X Physical Therapist (Licence: NJ 40QA01123000) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |