| NPI | 1639417967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 041491-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9625) |
| 225100000X Physical Therapist (Licence: NC P15751) | |
| 225100000X Physical Therapist (Licence: VA 2305207691) | |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2017-07-06 |