| NPI | 1487009528 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01663500)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT5989)  | 
| 225100000X Physical Therapist (Licence: FL PT37769)  | |
| 225100000X Physical Therapist (Licence: IL 070026343)  | |
| 225100000X Physical Therapist (Licence: RI PT03460)  | |
| 225100000X Physical Therapist (Licence: MI 5501021634)  | |
| 225100000X Physical Therapist (Licence: NY 048341)  | |
| 225100000X Physical Therapist (Licence: KS 11-06931)  | |
| 225100000X Physical Therapist (Licence: PA PT030075)  | |
| 225100000X Physical Therapist (Licence: AL PTH10647)  | |
| Enumeration Date | 2016-04-26 | 
| Last Update Date | 2022-03-28 |