| NPI | 1306593561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 13470) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046619) |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-28 |