| NPI | 1407544489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29505) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 049669-01) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-07-13 |