| NPI | 1528293289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019085) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT870418) |
| 225100000X Physical Therapist (Licence: NY 027290-1) | |
| 225100000X Physical Therapist (Licence: MD 22530) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-27 |