| NPI | 1598804247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0004060) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00613700) |
| 225100000X Physical Therapist (Licence: NY 006003) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-11-19 |