| NPI | 1457871386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 299671) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 039686-1) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2021-06-28 |