| NPI | 1255584728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT5568) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 023965-1) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2024-03-03 |