| NPI | 1770704330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4392) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40qa0121550) |
| 225100000X Physical Therapist (Licence: NY 027072-1) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2021-05-26 |