| NPI | 1194371351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 298295) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 044475-01) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2022-07-15 |