| NPI | 1417414418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 299276) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 044115-1) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2020-10-13 |