| NPI | 1134675606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 16534) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040805) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2018-04-17 |