| NPI | 1427381888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00952800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 7375) |
| 225100000X Physical Therapist (Licence: IN 05006067A) | |
| 225100000X Physical Therapist (Licence: NY 023032-1) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2012-11-28 |