| NPI | 1659438406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT6475) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014284) |
| 2251X0800X Physical Therapist Orthopedic (Licence: NJ 40QA01559700) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-10-12 |