| NPI | 1346759149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 041441-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041441) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2021-03-22 |