| NPI | 1457586828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01438200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206578) |
| 225100000X Physical Therapist (Licence: MI 5501014436) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2019-09-25 |