| NPI | 1053851071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 044250-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT025770) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2019-05-24 |