| NPI | 1386256329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT030343) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 045963) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2022-07-08 |