| NPI | 1295865509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11392) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0075661) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2022-08-15 |