| NPI | 1396383170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 43108) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 11313) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |