| NPI | 1386766780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA01317500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012215) |
| 225100000X Physical Therapist (Licence: MA 17880) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 032148) | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225100000X Physical Therapist (Licence: IN 05008574A) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2017-07-13 |