| NPI | 1245641141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 041438-01) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10880) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2023-01-03 |