| NPI | 1174564660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 20481) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 022145) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-06-28 |