| NPI | 1326627464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36823) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034982-01) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-04-06 |