| NPI | 1457664724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 010842) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01146700) |
| 225100000X Physical Therapist (Licence: FL PT20511) | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2022-08-29 |