| NPI | 1093866741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT028148) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 019441-1) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-14 |