| NPI | 1295009454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034780) |
| 225100000X Physical Therapist (Licence: AK 2882) | |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2024-05-09 |