| NPI | 1881879104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 008422) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: CT 008422) |
| 225100000X Physical Therapist (Licence: PA 019455) | |
| Enumeration Date | 2008-01-05 |
| Last Update Date | 2014-08-25 |