| NPI | 1679679344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT009571-L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01014400) |
| 225100000X Physical Therapist (Licence: DC PT870594) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |