| NPI | 1598731044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT005457L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00602100) |
| 225100000X Physical Therapist (Licence: DE 225100000X) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2010-11-04 |