| NPI | 1477957611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01840000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1129807) |
| 225100000X Physical Therapist (Licence: KY 006480) | |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2019-05-01 |