| NPI | 1316316144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01755400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038533) |
| 225100000X Physical Therapist (Licence: TX 1256050) | |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2018-03-17 |