| NPI | 1316552227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0134328) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046106) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2021-09-17 |