| NPI | 1770849531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT293202) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034747-1) |
| 225100000X Physical Therapist (Licence: NJ 40QA01603100) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2022-11-01 |