| NPI | 1851592414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT-003106-L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0000473) |
| 225100000X Physical Therapist (Licence: NJ 40QA00360700) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |