| NPI | 1336557586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 039433) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023741) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2023-03-15 |