| NPI | 1124542204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048387) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211386) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2022-03-10 |