| NPI | 1285476457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12329) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040650) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-12-09 |