| NPI | 1326636242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38291) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 12097) |
| 225100000X Physical Therapist (Licence: NY 046598-01) | |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2024-06-28 |