| NPI | 1114287034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 040086) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 39002) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2021-04-20 |