| NPI | 1407071103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT017605) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 028362-1) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2021-08-05 |