| NPI | 1114261088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033853) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26756) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2020-02-07 |