| NPI | 1114565777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33218) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029327-1) |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2021-04-15 |