| NPI | 1831638733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 040837) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01656700) |
| 225100000X Physical Therapist (Licence: FL PT30845) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-03-06 |