| NPI | 1740643402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038029) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209047) |
| 225100000X Physical Therapist (Licence: IL 070021387) | |
| 225100000X Physical Therapist (Licence: NC P16204) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |