| NPI | 1881021087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036909) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01842100) |
| 225100000X Physical Therapist (Licence: PA 022884) | |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2019-01-28 |