| NPI | 1245533819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 024364) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032518-1) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2022-09-28 |