| NPI | 1700329505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01965800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213803) |
| 225100000X Physical Therapist (Licence: NY 040957) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 040957) | |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2020-11-02 |