| NPI | 1467018101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212255) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043261-1) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2020-06-01 |