| NPI | 1073985644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33737) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23559) |
| 225100000X Physical Therapist (Licence: NY 039437-1) | |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2023-03-21 |