| NPI | 1508985367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WV 002464) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01215400) |
| 225100000X Physical Therapist (Licence: NY 030116-1) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-05-31 |