| NPI | 1942411574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P12693) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA009831) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2018-05-02 |