| NPI | 1386291474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 043403) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P18992) |
| 225100000X Physical Therapist (Licence: GA PT013816) | |
| 225100000X Physical Therapist (Licence: VA 230512388) | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |