| NPI | 1073160511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28397) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 12391) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2022-10-11 |