| NPI | 1346962537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 049833) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY P117902) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-11-17 |