| NPI | 1376960054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT31194) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037005) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2023-11-13 |