| NPI | 1922400860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 008403) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 10331-24) |
| 225100000X Physical Therapist (Licence: IA 03405) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |