| NPI | 1275085276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29456) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040602-1) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2023-12-12 |