| NPI | 1700219425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035966) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018392) |
| 225100000X Physical Therapist (Licence: DE J1-0002616) | |
| 225100000X Physical Therapist (Licence: NJ 40QA01295500) | |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2022-03-30 |