| NPI | 1356115711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 051306) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 11515) |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |