| NPI | 1033635578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 026838) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040423) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2021-10-21 |