| NPI | 1902026941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33719) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01017400) |
| 225100000X Physical Therapist (Licence: HI 2103) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2018-11-09 |