| NPI | 1295373892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10098) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 045417) |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2023-07-17 |