| NPI | 1316577281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 045436) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0004111) |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-03-16 |