| NPI | 1285865444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206105) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031608) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2020-03-18 |