| NPI | 1881093953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292709) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA0156690) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2017-02-16 |