| NPI | 1487879532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 35468) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10037) |
| 225100000X Physical Therapist (Licence: MD 27835) | |
| 225100000X Physical Therapist (Licence: NJ 40QA01013200) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2021-06-07 |