| NPI | 1255629341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28655) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 013709-1) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2022-01-11 |