| NPI | 1699082917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20192) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01410800) |
| 225100000X Physical Therapist (Licence: SC 6247) | |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2021-06-09 |