| NPI | 1174096754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0435111) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 295576) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2022-05-19 |