| NPI | 1134197320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 024937) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P16455) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2022-06-30 |