| NPI | 1588271878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT300447) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01963100) |
| 225100000X Physical Therapist (Licence: PA PT028897) | |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2021-07-15 |