| NPI | 1154968295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014736) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 045199) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2024-09-20 |