| NPI | 1093033631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT29296) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030391-1) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2024-10-29 |