| NPI | 1255920294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 046853) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 13009) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-03-26 |