| NPI | 1528216009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40287) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01290000) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2018-07-27 |