| NPI | 1114325230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1775) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037987-1) |
| Enumeration Date | 2014-12-06 |
| Last Update Date | 2020-04-30 |