| NPI | 1336360437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 26722) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 33530) |
| 225100000X Physical Therapist (Licence: NJ 40QA01203700) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-02-23 |