| NPI | 1376079335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 012474) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036446) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-06-21 |