| NPI | 1205476876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 044634) |
| 225100000X Physical Therapist (Licence: SC 9957) | |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |