| NPI | 1316346455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19674) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62038025) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2021-02-01 |