| NPI | 1669058467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28407) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 047173-01) |
| 225100000X Physical Therapist (Licence: NJ 40QA01997200) | |
| 225100000X Physical Therapist (Licence: DE J1-0014425) | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-12-28 |