| NPI | 1134670375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292987) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040719) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2022-02-04 |