| NPI | 1083227185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 045043) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 297742) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |