| NPI | 1356708804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 62038870) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41615) |
| 225100000X Physical Therapist (Licence: NJ 40QA01634300) | |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |