| NPI | 1538595350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 43551) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 3848) |
| 225100000X Physical Therapist (Licence: MA 21166) | |
| 225100000X Physical Therapist (Licence: NJ 40QA01506000) | |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2022-01-03 |