| NPI | 1316469042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212630) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26749) |
| 225100000X Physical Therapist (Licence: NY 42301) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2019-06-26 |