| NPI | 1447712666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 043547) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS pt6339) |
| 225100000X Physical Therapist (Licence: KY 007220) | |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |