| NPI | 1336410877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24940) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA Pt016513) |
| 225100000X Physical Therapist (Licence: AZ 7508) | |
| Enumeration Date | 2012-01-14 |
| Last Update Date | 2018-05-01 |