| NPI | 1184134108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 009509) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2023-06-02 |