| NPI | 1801040449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT-006915-L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ QA006831) |
| 225100000X Physical Therapist (Licence: DE J1 0001049) | |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2008-11-10 |