| NPI | 1972682755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P16817) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9599) |
| 225100000X Physical Therapist (Licence: NJ 40QA01192) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-02-25 |