| NPI | 1285274779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 13189) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043860) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2021-10-12 |