| NPI | 1134824204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018831) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 049235) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-08-09 |