| NPI | 1013175926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19962) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029897) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2022-08-03 |